ANA L CACERES
Controlled Substance Registration for Practitioner


Address: 26 Cheney Ln, Newington, CT 06111-3111

ANA L CACERES (Credential# 1123072) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANA L CACERES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053720. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 26 Cheney Ln, Newington, CT 06111-3111. The current status is active.

Basic Information

Licensee Name ANA L CACERES
Credential ID 1123072
Credential Number CSP.0053720
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Cheney Ln
Newington
CT 06111-3111
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-09-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1115801 12.005131 Advanced Practice Registered Nurse 2012-09-07 2019-10-01 - 2020-09-30 ACTIVE
625509 10.E56601 Registered Nurse 1994-06-24 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 26 CHENEY LN
City NEWINGTON
State CT
Zip Code 06111-3111

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Competitor

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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